Bilateral Thalamic Pilocytic Astrocytoma [Neurosurgery Wiki]

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====== Bilateral Thalamic Pilocytic Astrocytoma ======
The incidence of [[bilateral thalamic glioma]] in children is not reported in the [[literature]]. The majority of [[case]]s comprise either [[diffuse astrocytoma]], [[anaplastic astrocytoma]], or [[glioblastoma]]. Partial surgical [[resection]] or [[biopsy]] followed by [[adjuvant therapy]] is the usual treatment for bilateral [[thalamic glioma]]s. [[Prognosis]] is dependent on tumor grade and extent of tumor spread to surrounding critical structures. 

Konar et al., presented from National Institute of Mental Health and Neurosciences, [[Bangalore]], India. a rare case of bilateral [[thalamic pilocytic astrocytoma]]. [[Endoscopic biopsy]], [[septostomy]], and placement of a [[ventriculoperitoneal shunt]] was done followed by [[radiotherapy]]. The 36-month follow-up demonstrated radiological control of the tumor
((Konar SK, Shukla D, Nandeesh BN, Prabhuraj AR, Devi BI. Surgical Management
and Outcome of a Bilateral Thalamic Pilocytic Astrocytoma: Case Report and Review
of the Literature. Pediatr Neurosurg. 2019 Jan 24:1-4. doi: 10.1159/000495990.
[Epub ahead of print] PubMed PMID: 30677772.
)).